Needle stick and sharp injuries among residents practicing surgical intervention in a Tertiary Hospital, Addis Ababa, Ethiopia

Authors

  • Wuletaw Chane Zewude St. Paul's Hospital Millennium Medical College
  • Luli Baissa
  • Yishak Suga
  • Yishak Suga

Keywords:

Needle Stick, Injury, Residents

Abstract

Background: Needle stick and sharp object injury is a common occupational hazard of healthcare workers. And it is a cause of concern for it can affect once wellbeing.

Objective: The study aims in assessing the occurrence and circumstances surrounding needle stick & sharp injuries and behavior associated with the reporting of injuries among residents practicing surgical intervention.

Methodology: A cross sectional study was employed, among residents on training in St. Paul’s hospital millennium medical college (SPHMMC) and who practice surgical intervention on patient. Data was collected using pretested, structured questionnaire from all residents practicing surgical intervention and who are at different post graduate year of their specialty training from February 1st, 2018 till March 30th, 2018.

Result: A total of 122 residents practicing surgery in our study area participated on the study, of which 32.8% are general surgery residents. The others are from department of orthopedics and traumatology (12.3%), ENT (6.6%), department of obstetrics and gynecology (29.5%), maxillofacial (5.7%), Ophthalmology (7.4%) and department of emergency medicine (5.4%). Of the respondents, 84(68.9%) residents sustained NSSI at least once over the study period, among which only 14.8% are involved in high risk patients. Highest level of injury is seen among residents from departments of orthopedics & traumatology and maxillofacial whereas the least injury seen from department of ophthalmology.

Conclusion: Results of our study are comparable to literatures in terms of incidence of NSSI and reporting habit of residents after the injury.

Author Biography

Wuletaw Chane Zewude, St. Paul's Hospital Millennium Medical College

Deoartment of Surgery

Assistant Professor of Surgery

References

REFERENCES
1 Anjuman Gul Memon, Zahid Naeem, Atif Zaman,Faryal Zahid.Occupational health related concerns among surgeons Int J health Sci(Qassim).2016Apr; 10(2):279-291.
2 Ben Ouyang, Lucy Dx Li, Joanne Mount, et al. Incidence and characteristics of needlestick injuries among medical trainees at a community teaching hospital: J Occup Health 2017; 59:63-73
3 Janice Hopkins Tanne, Most US surgeons in training get needlestick injuries, few report them: BMJ 2007 ; 335(7609):10-11.
4 Peter T Scardino, A hazard surgeon need to address. Nature clinical practice urology, 2007;4(7):347
5 Abebe Bekele, Berhanu kotisso, Solomon Shiferaw, Work-Related Operating Theatre Accidents Among Surgical Residents in Addis Ababa, Ethiopia. East and Central African Journal of Surgery. 2008; 13;27-33
6 Elise M. Beltrami, Ian T. Williams, Craig N. Shapiro, Mary E Chamberland, Risk and Management of Blood-Borne infections in Health Care Workers. Clin Microbil Rev. 2000: 385-407
7 Jennifer F. Waljee, Sunitha Malay, Kevin C. Chung, Sharps Injuries: the Risks and Relevance to Plastic Surgeons. PlastReconstr Surg. 2013 April ; 131(4): 784–791. doi:10.1097/PRS.0b013e3182818bae
8 Thomas Marnejon David Gemmel, Kelli Mulhern, Patterns of Needlestick and Sharps Injuries Among training Residents. JAMA Intern Med. 2016; 176(2):251-252.
9 AdamuG.Umar and Abdullahi Aisha,Common occupational health hazards amongst HCW in a tertiary health institution in Bida north central Nigeria, IJBR 2017; 8(01)
10 NIOSH Alert:preventing needlestick injuries in health care settings. Washington, DC: National Institute for Occupational Safety and Health,1999.(publication no.2000-108.)
11 Pruss-UstanA, RapitE,Hutin Y, Estimation of the global burden of disease attributable to contaminated sharps injuries among health care workers, Am J Ind Med, 2005 Dec; 48(6): 482-90.
12 Wald J. DisabilRehabil. The psychological consequences of occupational blood & body fluid exposure injuries. DisbilRehabil 2009;31(23):1963-9.
13 Martin A.Makary, Ali Al-Attar, et al , needlestick injuries among surgeons in training,NEng J Med 2007; 356:2693-9
14 Stylin M Jamu, LesegoGabatiri, Kelly k Mundongo, Nelson K Mwaniki Epidemiology of percutaneous exposure to needlestick and sharp object injuries in the Botswana Public health sector A health facility cross sectional study, GJMEDPH 2016,5(2) 1-8
15 Bekele T, Gebremariam A, Kaso M, Ahmed K (2015) Factors Associated with Occupational Needle Stick and Sharps Injuries among Hospital Healthcare Workers in Bale Zone, Southeast Ethiopia. PLoS ONE 10(10):e0140382.doi:10.1371
16 Berhanu EF. Prevalence and determinant factors for Sharp injuries among Addis Ababa Hospitals Health Professionals. Science Journal of Public Health. 2013; 1(5):189-193
17 Lulie W, Emebet A, Medihanit T et al Factors associated with needle stick and sharp injuries, among health care workers in felege Hiwot Referral hospital, Bahirdar, Northwest Ethiopia. Int J infect Control. 2013;2(1):31-38
18 Babcock, Hilary M. and Fraser, Victoria. Differences in percutaneous injury patterns in a multi-hospital system. SHEA 2003; 24(10): 731-736
19 Tokars JI, Bell DM, Culver DH, et al. Percutaneous injuries during surgical procedures. JAMA 1992;267(2):2938-9
20 Heald AE, RansohoffDF,Needlestic injuries among resident physicians. J.Gen intern Med.1990 sep-oct; 5(5):389-93
21 Karen Daley, Laurie Robert, Natalia Firsova, Angela Lramie, Lietitia Davis. Sharps Injuries in the operating room MASSACHUSETTS sharps injury surveillance system data, 2004, Massachusetts,Massachusetts department of public health; April 2008. 12p
22 Hui-Ling Kerr, Nicola Stewart, Alistair Pace, SheriefElsayed, Sharps injury reporting amongst surgeons, Ann R Coll Surg Engl 2009,91:430-432
23 A.Bekele, S.Shiferaw, D. Gulilat levels and trends of occupational hazards among surgical residents at Tikur Anbessa Hospital, Addis Ababa Ethiopia. East and Central African Journal of Surgery. 2013 18(3) 62-64
24 T. Kimuli, Denise Meya, David Meya, et al. Blood and body fluid exposure among surgeons in Mulago hospital, East and Central African Journal of Surgery. 2011; 16(3): 86-93
25 Mohammad Saleh A Alghamdi , Mosab M Abbas, Majed O Shafei,et al. Sharp injuries in the operative room among residents in surgical specialties: A cross‑sectional study; Saudi Surg 2018;6:11-5
26 O’Neill TM, Abott AV, Radecki SE risk of needle sticks and occupational exposure among residents and medical students. Arch Intern Med 1992 Jul; 152(7) :1451-6
27 To Nwankwo, UU Aniebue, Percutaneous injuries and accidental blood exposure in surgical residents: Awareness and use of prophylaxis in relation to HIV; NJCPJ 2011; 14(1): 34-37
28 Dafang Zhang, Ehsan Saadat, George S. M. Dyer, Mitchel B. Harris,Occupational Sharps Exposures Among Orthopaedic Surgery Residents: A Multi-Institutional Survey Study 2015 OJHM,16:1-50

Downloads

Published

2020-06-25

Issue

Section

Original Article